The short answer Vermont designates rather than conventionally licenses home health agencies under 33 V.S.A. 6303; its designation/operation rule contains no TB screening or employee health-screening requirement, so agencies follow federal Medicare CoPs and CDC guidance. Workers' comp is required for all employment from the first employee.
What Vermont requires
Vermont
TB screening: no rule. Vermont's Regulations for the Designation and Operation of Home Health Agencies (adopted under 33 V.S.A. 6303) set designation and program standards but contain no tuberculosis or worker health-screening provision.
Source ↗
Designation model. Designated Vermont home health agencies must obtain and maintain federal Medicare certification, so 42 CFR Part 484 Conditions of Participation are the operative operational standards.
Source ↗
Workers' comp from 1st employee. Vermont DOL: workers' compensation coverage is required for all employment and mandatory for all Vermont employers, including part-time workers.
Source ↗
☆ Rules change. We watch them for you.
Get one short email when Vermont's home care requirements change. No spam, unsubscribe anytime.
Reviewed quarterly by Vitable Health.
The federal baseline (applies in every state)
Federal
No federal TB mandate for home care workers. There is no federal law requiring tuberculosis screening of home care or home health workers; TB screening obligations for this workforce are set by each state's facility licensing law. Federal Medicare Conditions of Participation for home health agencies (42 CFR Part 484) require an infection-prevention program but do not prescribe worker TB testing.
Source ↗
2019 CDC/NTCA baseline screening standard. The 2019 CDC/National Tuberculosis Controllers Association recommendations for U.S. health care personnel call for a baseline (pre-placement) individual TB risk assessment, symptom evaluation, and a TB test (IGRA or TST) for those without documented prior positive results. Routine annual (serial) testing of health care personnel is no longer recommended absent ongoing exposure; instead facilities should provide annual TB education and symptom screening.
Source ↗
Positive-result workup. Personnel with a newly positive TB test or TB symptoms should receive a chest X-ray and clinical evaluation to rule out active TB disease; those found to have latent TB infection should be offered and encouraged to complete LTBI treatment per CDC guidance.
Source ↗
OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030). OSHA's Bloodborne Pathogens Standard applies to home care/home health workers with reasonably anticipated exposure to blood or other potentially infectious materials. Employers must maintain a written exposure control plan, provide annual training, and offer the hepatitis B vaccine series at no cost within 10 working days of assignment to covered workers.
Source ↗
Primary sources for this page
More Vermont guides